| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| HILB GROUP OF NEW ENGLAND3 Filed as: THE HILB GROUP OF NORTH CAROLINA | 4010 OLEANDER DR WILNINGTON, NC 284036841 | UNITEDHEALTHCARE INSURANCE COMPANY | $15K | $0 | $15K | 1.98% |
| THE CASON GROUP INC3 Filed as: CASON GROUP INC | 1612 MARION ST COLUMBIA, SC 292012939 | UNITEDHEALTHCARE INSURANCE COMPANY | $4K | $0 | $4K | 0.58% |
| ADP INC3 Filed as: AUTOMATIC DATA PROCESSING INSURANCE | 71 HANOVER RD LOCK BOX GH200 FLORHAM PARK, NJ 07932 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $13K | $720 | $14K | 3.05% |
| ASSUREDPARTNERS3 Filed as: AP BENEFIT ADVISORS, LLC DBA INSURA | 200 INTERNATIONAL AVE SUITE 200 HUNT VALLEY, MD 21131 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC | $5K | $0 | $5K | 1.06% |
| ADP INC3 Filed as: AUTOMATIC DATA PROCESSING INSURANCE | 71 HANOVER RD FLORHAM PARK, NJ 07932 | DELTA DENTAL OF VIRGINIA | $5K | — | $5K | 5.00% |
| NOVUS BENEFIT ADVISORS3 | 3550 TORINGDON WAY SUITE 205 CHARLOTTE, NC 28277 | COMPANION LIFE INSURANCE COMPANY | $3K | $0 | $3K | 9.28% |
| THE CASON GROUP INC3 Filed as: THE CASON GROUP | 1612 MARION ST COLUMBIA, SC 29201 | COMPANION LIFE INSURANCE COMPANY | $2K | $0 | $2K | 5.86% |
| JERRY DEAN GREGORY3 Filed as: JERRY GREGORY | 2413 ROBESON ST SUITE 3 FAYETTEVILLE, NC 28305 | COMPANION LIFE INSURANCE COMPANY | $234 | $0 | $234 | 0.73% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 139 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 1 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 140 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(2 contracts, 2 carriers) | UNITEDHEALTHCARE INSURANCE COMPANY | 147 | $1.2M |
| Dental | DELTA DENTAL OF VIRGINIA | 284 | $101K |
| Short-term disability | COMPANION LIFE INSURANCE COMPANY | 63 | $32K |
| Long-term disability | COMPANION LIFE INSURANCE COMPANY | 63 | $32K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 284 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Premium per covered life exceeds 2× the peer median for this NAICS + size cohort. Either richly-funded plan or struggling with a bad rate.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.